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1144315607
SUSAN ELIZABETH SULLIVAN
NEW BEDFORD, MA
NPI
1144315607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MA 2364)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- SUSAN ELIZABETH SULLIVAN Ph.D.
13 WELBY ROAD SUITE 2
NEW BEDFORD, MA 02745-1132
Phone number: 508-998-1115
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Mailing Address
-- SUSAN ELIZABETH SULLIVAN Ph.D.
13 WELBY ROAD SUITE 2
NEW BEDFORD, MA 02745-1132
Phone number: 508-998-1115
Copy
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